• Friendly Visitor Volunteer Application

    Friendly Visitor Volunteer Application

    Please complete the below and upload any requested information

  • Thank you for your interest in the Friendly Visitor Volunteer Program. We truly appreciate your dedication to supporting Orange County seniors.

    Program Status Update: Temporarily Paused
    Please note that the Friendly Visitor Program is currently on hold until further notice. This decision allows us to focus our immediate volunteer resources on the most urgent, essential needs of our senior neighbors.

    Immediate Impact Opportunities

    While the Friendly Visitor program is paused, you can still make a critical difference in a high-priority role:

    • Meals on Wheels Delivery: Deliver nutritious meals and perform vital safety checks for homebound seniors.
    • Senior Center Assistance: Support daily operations and our popular Senior Center Lunch Programs.

    If you are interested in transitioning your application to one of these urgent programs, please complete our general volunteer application here: https://form.jotform.com/agewellvolunteer/volunteer-application

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  • Emergency Contact

  • Volunteer Documentation

  • Medical & History

  • Background Check Requirement

    In the safe keeping of our seniors and community, a background check is mandatory to be an Age Well Volunteer. You may have completed this in the past but due to the Chore program, we may need you to complete this again. Please complete as soon as possible so we can proceed with your application. 

    You will be receiving a separate email from Sterling Volunteers (TheAdvocates@sterlingvolunteers.com) on behalf of Age Well Senior Services to complete the background check online. Please check your SPAM/Junk Folder in case you miss the email. 

    Age Well is a 501 (C) (3) nonprofit organization. The $19.00 cost of the background check is covered by Age Well. If you would like to offset any portion of this cost, we greatly appreciate your support. A contribution is not required to be a volunteer. This may be tax deductible, please check with your tax advisor.

    If you no longer wish to volunteer, please reply to reach out to volunteer@myagewell.org to be removed from this list. 

    Thank you.

  • Confidentiality Statement

    Please initial

  • Hold Harmless and Release of Liability Agreement

    Please initial

  • Elder Abuse

    Please initial

  • Guests (Anyone accompanying a volunteer that has not completed a volunteer application)

    I will be held responsible for guest(s) that accompany me and I understand that I will be held responsible for their adherence to Age Well policies.

  • Children (anyone under 18 years)

    If I choose to take children with me during my Friendly Visit, I will be responsible for their behavior and their safety. I will get permission from the FV program manager AND the senior prior to bringing any children along with me.

  • Pets

    No animals are allowed with me during my Friendly Visit. Exception only for ADA approved service dog along with permission from the FV program manager AND the senior prior to bringing any ADA service dog along with me. .

  • Volunteer Commitment

    It has been explained that I have certain responsibilities as a volunteer and will as such make commitments to the program(s) for which I am volunteering. If I am unable to fulfill a commitment, I will notify the FV manager as soon as possible so that a suitable replacement can be found.

  • Photo & Media Release

    I __do__do not grant permission to Age Well Senior Services, Inc. to use my image (including, but not limited to, photos and video in social media platforms such as Facebook and Instagram and the Age Well website.

  • Email Release

    I __do__do not grant permission to Age Well Senior Services, Inc. to send emails to the email address on file.

  • VOLUNTEER PROGRAM CODE OF CONDUCT

  • Thank you for volunteering for Age Well Senior Services, Inc. We could not serve as many seniors without your help. Please read and abide by this Code of Conduct to avoid any situations that comprise the integrity, independence, and reputation of Age Well Senior Services, Inc. It is presumed that this Code of Conduct will be in addition to your good judgment since we cannot contemplate all possible situations of actual or potential conflicts of interest. All Age Well Senior Services, Inc., volunteers must adhere to the following:

    • A volunteer may not accept personal gifts or gratuities from a client or participant.
    • Volunteers must maintain the confidentiality and privacy standards of Age Well Senior Services, Inc. A volunteer may not distribute/share/disclose/reuse client information, addresses, or contact outside AWSS.
    • Volunteers agree to participate in scheduled training.
    • Volunteers agree to wear appropriate clothes when volunteering and closed toed shoes when working in the kitchen.
    • Volunteers must work in support of their supervisor and abide by program regulations.
    • Age Well Senior Services, Inc., is a smoke free and drug free work environment.
    • Volunteers may be dismissed for reasons related to disrespectful conduct towards seniors,volunteers or staff.
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  • Volunteer Training

    Emergency Situations
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  • Complete Application

    I certify that all answers given by me on this application or any other accompanying or required documents are true, accurate and complete. The falsification, misrepresentation or omission of facts will be cause for denial or removal of my volunteer application/status, regardless of when or how discovered. Volunteer Placement is subject to the availability and discretion of the Agency.
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